Alpha-1 antitrypsin deficiency among Indian children with liver disorders

Indian J Gastroenterol. 2006 Jul-Aug;25(4):191-3.

Abstract

Aims: To determine the frequency of alpha-1 antitrypsin (AAT) deficiency in children with chronic liver disease (CLD) and neonatal cholestasis syndrome (NCS).

Methods: All children with NCS (n=23) or CLD (n=35) attending the Pediatric Gastroenterology Clinic between November 2003 and July 2005 were screened for AAT deficiency using phenotyping through isoelectric focusing of plasma.

Results: Of the 58 children studied, 57 had normal PiMM phenotype. One child with CLD had the M1E type of normal variant. None of the patients had the abnormal phenotype PiZZ.

Conclusion: AAT deficiency is infrequent among children with CLD and NCS in our region.

MeSH terms

  • Alanine Transaminase / blood
  • Ceruloplasmin / analysis
  • Child
  • Child, Preschool
  • Cholestasis / complications*
  • Humans
  • India / epidemiology
  • Infant, Newborn
  • Liver Diseases / complications*
  • Phenotype
  • Prothrombin Time
  • alpha 1-Antitrypsin Deficiency / complications
  • alpha 1-Antitrypsin Deficiency / epidemiology*
  • alpha 1-Antitrypsin Deficiency / genetics

Substances

  • Ceruloplasmin
  • Alanine Transaminase